14 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
distal to distal ulna ... , pain with wrist ... flexion and extension ... distal radius or ulna ... #XRay #Diagnosis
Common Hand Fractures on X-Ray
Mallet finger - injury to the lateral extensor slips
Boutonniere deformity - injury
to the lateral extensor ... central band of extensor ... thumb injury to ulnar ... #Radiology #Wrist ... #differential #diagnosis
Midcarpal Instability (MCI) of the Wrist

Intrinsic Midcarpal Instability
Usually affects young, hypermobile patients.
It is due to progressive
The proximal carpal ... extended, and when ulnar ... extensors (ECU, ... ECRB) The distal carpal ... orthopedics #clinical #video
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... box, pain with wrist ... extension • Possible ... #Radiology #XRay ... #Diagnosis #Management
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
extension • ... associated injuries: Carpal ... injury • ED Management ... #Carpal #Radiology ... #XRay #Diagnosis
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
swollen forearm and wrist ... pronation and at wrist ... injuries: Rare • ED Management ... Distal #Radiology #XRay ... #Diagnosis #Management
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Pronation - C7, C8 Wrist ... Abduction - C8-T1 (ulnar ... Adduction - C7-T1 (ulnar ... Carpal Tunnel Syndrome ... Dermatomes #Myotomes #diagnosis
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
not seen on x-ray ... dislocation • ED Management ... Scaphoid #Fracture #Wrist ... #XRay #Diagnosis ... #Management #Orthopedics
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features
 • RA affects 1% of population, women >
Swelling notable on Xray ... boggy" joints, esp carpal ... Boutonniere's ulnar ... RheumatoidArthritis #RA #pathophysiology ... signs #symptoms #diagnosis
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
prevent radial and ulnar ... phalanx to enable extension ... tendon) • ED Management ... IPJoint #Radiology #XRay ... #Diagnosis #Management